Organization Active NPI

Med-DME Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Sunland, CA
National Provider Identifier
1104851732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
44963 Issued in CA
Legal business name
MED-DME SUPPLY INC.
Practice address
8340 Foothill Blvd
Sunland, CA 91040-2849
Phone
(818) 446-0700
Fax
(818) 446-0064
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Meguerian
Title
Owner / Ceo
Phone
(818) 446-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 44963 CA Primary

Addresses

Primary practice location

8340 Foothill Blvd
Sunland, CA 91040-2849

Mailing address

8340 Foothill Blvd
Sunland, CA 91040-2849
Phone (818) 446-0700

Other identifiers 1

IdentifierTypeStateIssuer
44983OtherCALICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Med-DME Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104851732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402849",
            "telephone_number": "818-446-0700",
            "fax_number": "818-446-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402849",
            "telephone_number": "818-446-0700",
            "fax_number": "818-446-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-DME SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEGUERIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "818-446-0700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "44983",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.